Individual
ZETH THOMAS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1013 GRANITE DR, BARDSTOWN, KY 40004-2013
(502) 349-3100
(502) 349-3169
Mailing address
101 R MILLS RD, GREENSBURG, KY 42743-8329
(270) 405-0689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3043
KY
Other
Enumeration date
06/28/2022
Last updated
01/31/2024
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